Individual
JAMES W JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
Mailing address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27606
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114591
MEDICA
MN
01
—
115267
UCARE
MN
01
—
2178707
AMERICAS PPO
MN
01
—
41084933956001C037
CHAMPUS
—
01
—
41375JE
BCBS
MN
05
—
933772500
—
MN
01
—
HP21619
HEALTH PARTNERS
MN
01
—
NA2951011066
PREFFERED ONE
MN
01
—
P0010642
RR MEDICARE
—
Enumeration date
01/09/2006
Last updated
11/14/2019
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